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Management Health Insurance

Location:
Silver Spring, MD
Salary:
110,000
Posted:
May 27, 2015

Contact this candidate

Resume:

JHAHBRIEL C. MOORE-TERRELL, M.B.A A Businessman Who Is

**** ******** ******

Silver Springs, MD 20905

Mobile: 678-***-****

*****@***.***

Professional Career

Sr. Account Manager National Accounts

Kaiser Permanente Health Plan

Rockville, MD

08/2007 to Present

. Analyze & improve the risk and business position for two (Mid-

Atlantic/GA Region) national account book of business.

. Identify & confirm purchaser's needs and benefit strategies while

collecting specific business information with competitive data per

account in order to grow and increase profitability.

. Plan and conduct purchaser meetings and approach successful

negotiating strategies with purchaser, broker and consultant.

. Develop and implement wellness strategies and programs for various

national accounts to improve health risk assessments decreasing

national account claims.

. Negotiate the renewal with purchaser, broker and consultant completing

internal and external functions for closure.

. Collaborate with pricing to implement an ongoing, proactive rate

renewal strategy collecting data required to drive the rates down.

. Demonstrates marketing and technical expertise through interactions

with clients, brokers and consultant meetings in the RFP process.

. Evaluate and manage business decisions that merit special

considerations in the areas of prevention and key measures for account

growth.

. Develop and monitor client financial performance including renewal

planning, negotiation and profitability levels.

. Secure new business through marketing and effective product and

service expansion.

. Design programs that will elevate employees benefit knowledge within

various national accounts including wellness initiatives that support

disease management.

. Expand opportunities for membership growth in all regions creating

revenues for growth and development.

. Identify competitor's strengths and weaknesses to use in negotiating

benefit changes.

. Analyze the group's demographics, utilization and profitability versus

group's benefit plan.

. Ensure consistency in benefit plan administration and regulatory

compliance (i.e. 5500).

. Continuously build relationships and engage purchasers to demonstrate

value of Kaiser Permanente.

. Manage and understand federal and state laws relating to benefit plans

including ERISA, HIPAA, COBRA and FMLA for customer and broker

discussions for various national account customers.

. Prioritize and manage meeting time to focus on opportunities with

various national accounts, consultants and purchasers.

. Understand the purchaser's business and business challenges to share

ideas on health and wellness strategies in prevention.

. Manage employee benefit records and data maintenance within HRIS

system. Ensure proper processes and administration of employee

benefit transactions for various national account customers.

. Manage the administration of employee benefit programs for various

national customers, including health and welfare plans and retirement

savings programs.

. Use pricing and products to create opportunities for sales executives

and complete open enrollments analysis, identify growth potential and

future plan strategies.

. Evaluate cost benefit of various price/product scenarios for various

national accounts targeting specific opportunities for growth,

prevention and wellness strategies understanding claims, marketing and

managed care systems such as HealthConnect and Kp.org.

. Develop open enrollment strategies for growth and development.

Group & Healthcare Associate

Watson Wyatt Worldwide Consulting Inc.

Arlington, VA

08/2004 to 08/2007

. Supported Divisional Leaders and Senior Consultants with strong

technical grounding in benefit strategies, project management,

financials and presentation design.

. Managed/develop client databases to improve communications with

departmental contacts.

. Managed vendor relations meetings improving health and wellness

strategies for employees.

. Managed monthly reporting on benefit cost and alignment.

. Assisted in maintaining high quality standards across all technical

assignments in group benefits for Watson Wyatt clients ensuring

identification of relevant issues in the insurance industry.

. Represented Watson Wyatt in client meetings introducing new products

and strategic plans.

. Developed plan designs for various clients ensuring productivity and

sustainability.

. Served as a liaison between carriers and the clients, including vendor

negotiations, claims and customer service issues.

. Evaluated plan data, cost, price comparison, benchmarking, developing

plan design changes.

. Prepared and evaluated request for proposals troubleshooting questions

regarding benefit changes and programs.

. Conducted open enrollment for clients and benefit orientations.

Group Administrator

Golder Associates, Inc.

Atlanta, GA

05/2002 to 05/2004

. Supported Director of Engineering along with 18 core environmental

engineers with various projects, scheduling meetings, bank

reconciliations, expense reports, contracts and account management.

. Managed the companies Kronos systems including time and attendance,

payroll etc.

. Developed request for proposals and contract presentations.

. Maintained and updated company databases with won and lost projects.

. Key contact for HR needs for all engineers throughout the company.

. Maintained company bid list current for all daily projections and

objectives.

. Recruiting for internal positions including background screenings and

testing.

Network Administrator

NAESM

Atlanta, GA

02/2000 to 05/2002

. Maintained company database for Center for Disease Control (CDC)

. Managed an office of 25 people with I.T. Development.

. Implemented and managed the Kronos system for the organization which

included time, attendance and payroll.

. Extensive proposals, grants and contract development for various

projects.

. Developed and assisted with monthly reports, budgets, spreadsheets and

diagnostics for Human Recourses Department and Information Technology.

. Conducted internet research for HIV/AIDS grants and proposals.

. Conducted lunch and learns for new technology based programs for staff

members.

Education/Licenses/Certification

Keller Graduate School of Management

Masters of Business Administration M.B.A.

September 2014

DeVry University

Bachelors in Health Services Management

June 2012

International Foundation of Employee Benefit Program

Catholic University-Washington DC

Course 1- Employee Benefits: Concepts and Health Care Benefits

Course 8- Human Resources and Compensation Management

Benefit Plan Administration Certification

October 2006

United States Army

Pharmacy Technician Certification

Military Recruiter

1990-1996

Maryland Health Insurance Producer License

Virginia Health Insurance Producer License

District of Columbia Health Insurance Producer License

Georgia Health Insurance Producer License

California Health Insurance Producer License

Washington State Health Insurance Producer License

Hawaii Health Insurance Producer License

Oregon Health Insurance Producer License

Software Skills

PeopleSoft

SalesForce

Bayan

HCMS

Nortek People Management

SutiHR

Sentric

WorkForce HR

WorkForce Payroll

Kronos

Desktop Publishing

Lotus 1-2-3

Contact Plus

Graphic Design

Windows XP and XP Pro

PageMaker

Photoshop

MicroSoft Office (Excel, PowerPoint, Access, Word)

Dreamweaver

Adobe Acrobat

Professional Skills

Excellent problem solver

10+ years managing accounts and consulting

Strong working knowledge of managed care delivery systems

Strategic visionary and planner

Excellent project management skills

Excellent communicator both internal and external

Organizations

100 Black Men

Us Helping Us, Inc.

International Foundation of Employee Benefits

Alpha Phi Alpha, Inc.

Managed Accounts

United Airlines (Annual Revenue-

$16,335,000,000/ 30,408 Employees)

American Airlines (Annual Revenue-

$19,898,000,000/ 10,011 Employees)

Comcast (Annual Revenue-

$20,307,000,000/ 23,943 Employees)

General Dynamics (Annual Revenue-

$19,178,000,000/ 12,322 Employees)

Hilton Hotels (Annual Revenue-

$3,683,000,000/ 40,000 Employees)

InterContinental Hotels (Annual Revenue-

$4,226,000,000/ 3,480 Employees)

Davita (Annual Revenue-

$2,298,600,000/ 2,853 Employees)

Time Warner Cable (Annual Revenue-

$3,984,000,000/ 43,000 Employees)

Time Warner Inc. (CNN) (Annual Revenue-

$42,089,000,000/ 22,706 Employees)

Hewlett Packard (Annual Revenue-

$79,905,000,000/ 40,095 Employees)

AT &T (Annual Revenue-

$66,000,000,000/ 310,000 Employees)

ADP (Annual Revenue-

$8,077,700,000/ 10,266 Employees)

Verizon (Annual Revenue-

$38,000,000,000/ 68,000 Employees)

SunTrust (Annual Revenue-

$7,822,800,000/ 33,156 Employees)

Home Depot (Annual Revenue-

$73,094,000,000/ 331,000 Employees)

Lockheed Martin Technologies (Annual Revenue-

$35,526,000,000/ 59,257 Employees)

General Electric (Annual Revenue-

$148,019,000,000/307,000 Employees)

JP Morgan Chase (Annual Revenue-

$56,931,000,000/ 5,419 Employees)

Talented, resourceful and dedicated executive professional offering a

unique combination of expert skills. Creative and enthusiastic with proven

success in project management, sales and account management, wellness

activities, reporting, presentations, quality assurance, website

development and strategic marketing.



Contact this candidate